系统性审查和元分析:第一发精神病期间暴力的危险因素
Sarah Youn1,2,3, Amity E Watson1,2, Belinda L Guadagno3
1Orygen, Parkville, Melbourne, VIC, Australia.
Trauma, violence & abuse
|January 6, 2025
概括
在第一次精神病发作 (FEP) 期间暴力的危险因素因时间和严重程度而异. 男性的性别,种族,物质使用和精神病理与暴力有关,但严重的暴力缺乏已知的风险因素.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 在患有精神病的个体中,暴力更为常见,特别是在第一次精神病发作 (FEP) 期间.
- 关于在FEP期间增加暴力的风险因素的研究有限.
- 了解这些因素对于及时干预和风险管理至关重要.
研究的目的:
- 系统地审查和识别与FEP暴力行为的严重程度和时间相关的风险因素.
- 为了确定特定的风险因素是否在FEP的不同阶段不同预测暴力.
- 为患有FEP的个人提供有针对性的预防和治疗策略.
主要方法:
- 对2024年3月8日之前发表的研究进行系统审查.
- 在MEDLINE,Embase,PsycINFO,CINAHL和ProQuest数据库中进行的搜索.
- 在FEP中纳入15项研究,研究暴力风险因素.
主要成果:
- 男性性别,非白人种族,先前的暴力,更高的精神病理学和最近的药物使用与任何暴力有关,无论时间如何.
- 严重的暴力行为没有与任何特定的风险因素产生关联.
- 服务呈现前的暴力与更高的精神病理学有关;进入服务时的暴力与男性性别;治疗后的暴力与男性性别和失业有关.
结论:
- 在FEP中暴力的风险因素不均,取决于暴力行为的时间和严重程度.
- 鉴定的风险因素与一般社区暴力和精神病风险的风险因素重叠.
- 需要进一步的研究,以全面了解FEP中的暴力相关性,以改善临床管理.
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